NCG030505_2022 DMR_20220207

NCDEQ Division of Energy, Mineral and land Resources
Stormwater Discharge Monitoring Report (DMR) Form for NCG030000
Metal Fabrication
Click here for instructions
Complete, sign, scan and submit the DMR via the Stormwater NPDES Permit Data Monitorin Re ort DMR Upload form within
30 days of receiving sampling results. Mail the original, signed hard copy of the DMR to the appropriate DEMLR Rel i_onal Office.
Certificate of Coverage No. NCG030505
Person Collecting Samples:
Facility Name: Stanley Engineered Fastening
Laboratory Name:
Facility County: Stanly
Laboratory Cert. No.: ] 2 ✓ice
Discharge during this period:
Yes
0 No (if no, skip to signature and date)
Has your facility implemented mandatory Tier response actions this sample period for any benchmark exceedances? Yes -No
If so, which Tier (1, 11, or ill)?
A copy of this DMR has been uploaded electronically via https://edocs.deg. nc_Eoy/Forms/SW-DMR FflYes No Ej
Date Uploaded:
Analytical Monitoring Requirements for Outfalls with Industrial Activities — Benchmarks in (Red)
..........
Parameter
Code
Parameter
Outfall
Outfall
Outfall
Outfall
Outfall
N/A
Receiving Stream Class
C
N/A
Date Sample Collected MM/DD/YYYY
191
46529
24-Hour Rainfall in inches%,
CO530
TSS in mg/L (100 or 50*)
00400
pH in standard units (6.0--9.0 FW,
�JD
6.8-8.5 SW)
(p
01119
Copper, total recoverable in mg/L
(0.010 FW, 0.0058 SW)
/v
01051
Lead, total recoverable in mg/ L
(�
(0.075 FW, 0.22 5W)
/
01094
Zinc, total recoverable in mg/ L (0.126
FW, 0.095 SW)]
�2
Chemical Oxygen Demand (COD) in
00340
mg/L (120)
00552
Non -Polar Oil & Grease in mg/L (15)
* Outfalls to Outstanding Resource Waters (ORW), High Quality Waters (HQW), Trout Waters (Tr) and Primary Nursery Areas (RNA)
have a benchmark TSS limit of 50 mg/L. All other water classifications have a benchmark of 100 mg/L
FW (Freshwater) SW (Saltwater)
Notes (optional):
"I certify by my signature below, under penalty of law, that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properlygather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible forgathering the information, the information
submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting
fatss_e_Fn_fp,rmat,ion, i7tludingthe possibility of fines and imprisonment for knowing violations."
Signature ofPermittee or Delegated Aut orized Individual
G-Ci, (<,: 0 (tic- . Co
Email Address
Date
Phone Number